Senior Claims Auditor - Monterey Park, CA

The Claims Auditor will be responsible for the accurate review and auditing of claims that are adjudicated by the system and the Claims Examiners. · At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted, allowing you to grow whi ...

We are currently seeking a highly motivated Senior Claims Auditor.This role will report to the Director - Claims and enable us to continue to scale in the healthcare industry. · ...

The Specialty Health Plans Auditor III, · Claims is responsible all aspects of planning, · execution, reporting, and corrective action · plans monitoring of claims processing compliance · for specialty health plans and vendors.Performs annual claims audits for Specialty Health Pl ...

The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting. · Performs annual claims audits for Specialty Health Plans and vendors. · ...

Claims Auditor/Claims Processor role ideal for professionals with strong medical claims processing experience and knowledge of HMO/IPA operations, Medicare, and Medi-Cal guidelines. · ...

The Claims Auditor assists in the Claims Department by analyzing procedures,policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · Safeguards and preserves the confidentiality of patient's protected health information in a ...

We are seeking an experienced Claims Auditor / Claims Processor to support our Claims Department. This role requires strong medical claims processing experience and knowledge of HMO/IPA operations, Medicare, and Medi-Cal guidelines. · Evaluate patient protected health information ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. Assists the Claims Director in training staff. Coordinates generation and review of audit re ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · Formal training will be indicated by a high school diploma or equivalent; · four years med ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · Safeguards and preserves the confidentiality of patient's protected health information in ...

About UsAll Care To You is a Management Service Organization providing our clients with healthcare administrative support.We provide services to Independent Physician Associations TPAs and Fiscal Intermediary clients.ACTY is a modern growing company which encourages diverse persp ...

A leading healthcare organization in West Hills is seeking a Claims Examiner with strong claims compliance auditing experience. · Audit claims (especially denials) and support resubmission workflows · Contribute to benefit analysis and system design inputs impacting claims operat ...

A leading healthcare organization in West Hills is seeking a Claims Examiner with a strong claims compliance auditing experience (preferred). You'll analyze denials, support benefit analysis and system design considerations, manage special projects, and help improve auto‑adjudica ...

The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager. This position serves as a liaison between partnering departments i.e. Payment Integrity and Claims Compliance.This position works to ensure claims are being processed per regulatory guidelines a ...

The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager and maintains up-to-date knowledge of current trends and issues in healthcare. · ...

The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager to ensure claims are being processed per regulatory guidelines. · This position conducts audits of high dollar claims, Provider Disputes and Adjustments.Maintains up-to-date knowledge of current ...

The Claims Examiner is responsible for performing activities related to benefit analysis and system design, · managing special projects, · claim denials, · and auto-adjudication applications, · ...

The Financial Compliance Auditor III, Claims is responsible for various tasks within the Financial Compliance Unit. This role works closely with the Supervisor and/or Lead Auditor on the identification and resolution of issues in a timely and efficient manner. · A minimum of 5 ye ...

A Medical Claim Field Auditor applies medical claims audit experience to perform self-insured client audits. · ...